Endometriosis Treatment, Symptoms and Diagnoses
Endometriosis refers to the active endometrial cells implanted in the endometrium. It’s a common female gynecological disease. Endometrial cells should grow in the uterine cavity. But because of the uterine cavity is connects through the Fallopian tube and pelvic. So that endometrial cells can enter the pelvic cavity through the Fallopian tube ectopic growth. At present, the mechanism of disease pathogenesis of a variety of claims, which is generally recognized, is the endometrial implant theory. The disease is mostly occurred in women of childbearing age. Before the onset of puberty, postmenopausal ectopic lesions can be gradually atrophy degradation.
The main pathological changes of endometriosis are ectopic endometrial hemorrhage and peripheral tissue fibrosis. The formation of ectopic nodules, dysmenorrhea, chronic pelvic pain, menstrual abnormalities and infertility are the main symptoms. Lesions can spread all the pelvic tissues and organs to the ovary.
(1) Dysmenorrhea is the most typical symptoms of endometriosis. It often starts at 1 to 2 days before menstruation. At day 1 of there is most serious condition of female. Then after that it gradually reduced to menstruation clean away. Patient feels severe pain in this stage, and even analgesic dosage is invalid. Pain is due to endometriosis lesions internal bleeding to stimulate the local tissue caused by inflammatory response. At the same time its lesions increased prostaglandins, resulting in uterine muscle contracture.
(2) Menstrual abnormalities may appear such as menorrhagia or irregularities. Abnormal menstruation and endometriosis affect ovarian function. Its patients can face ovarian dysfunction such as ovulation abnormalities.
(3) Endometriosis patients often accompanied by infertility. 40% to 50% of patients suffer from infertility. It is mainly because of it often can cause ovarian follicular adhesion affect the oocyte picking.
(4) Intestinal endometriosis patients may have abdominal pain, diarrhea or constipation, and even a small amount of cyclical blood in the cycle. Ectopic endometrial invasion and compression of the ureter, there may be side of lower back pain and hematuria, but these are very rare.
According to the characteristics of the disease, where the women of childbearing age have increased dysmenorrhea or infertility history, gynecological examination can be intense. If there is necessary then diagnosis of endometriosis should be triple diagnosis. One should be in the middle of the menstrual cycle and the second day of menstruation. Gynecologist should pay attention to ovarian cancer, oviduct ovarian inflammation, and rectal cancer phase identification.
Endometriosis treatment program is depends upon the severity of the disease. It also depends upon the patient’s age and fertility. If the condition is severe then the patient must take drugs or surgical treatment as soon as possible.
If the patient is young and has no children then doctors recommends conservative surgery. In this surgery generally only the endometrial ectopic lesions removed. The uterus and normal ovarian tissue are retained in this surgery. This operation retains the possibility of fertility, but there is chance of recurrence. If you have children and you are older (greater than 35 years old) then remove the endometriosis at the same time. In this surgery doctors remove the uterus. This surgery is known as known as semi-conservative surgery. Its effect is better than conservative surgery, but cannot absolutely prevent recurrence. If the patient is near menopause or it is too extensive that it becomes difficult to completely eradicate it, then through surgery uterine ovaries should be removed. This is known as radical surgery.
In recent years, the widespread use of laparoscopy has made the treatment of endometriosis easy. Especially in foreign countries, laparoscopic surgery has become more and more extensive treatment program.